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Java Nursing Journal
Published by Global Indonesia Healthcare
ISSN : -     EISSN : 29884152     DOI : https://doi.org/10.61716/jnj.v1i2
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing
nursing science, nursing management principles, nursing policy, Nursing Ethics, health care, nursing education, and nursing practice in Asian communities worldwide to a broad international audience. Article Review in Nursing, Medical surgery nursing, Nursing Anesthesia, advanced nursing, Complementary Nursing, Community Nursing, Pediatric Nursing, Basic nursing, Psychiatric nursing, Maternity Nursing, Nursing Management, Gerontology Nursing, Oncology Nursing, Law Nursing, and Informatic Nursing.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 103 Documents
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The Relationship Between Postnatal Care Service Quality and Patient Satisfaction After Birth Amelinda, Amanda; Amalia; Lestari, Yuli
Java Nursing Journal Vol. 3 No. 2 (2025): March - June 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i2.112

Abstract

Background: Quality of health care is the patient's needs as an indicator of service that shows patient satisfaction with the level of patient visits, and the way achieved the best quality through improving the quality of health services by increasing patient satisfaction. Purpose: The aim is to analyze the relationship between service quality and postpartum patient satisfaction in the Delima Room of RDUD Dr. H. Abdul Moeloek. Methods: Employing a cross-sectional design, 62 postpartum mothers were surveyed between January 23 and February 20, 2025, using purposive sampling. A structured and validated questionnaire was administered, measuring perceptions of service quality and satisfaction. Chi-square analysis was conducted using SPSS v25, with a significance threshold of p < 0.05. Results: The characteristics of the majority of respondents aged 20-29 years (58.1%), S1 education (35.5%), and IRT (50.0%). the relationship between the quality of postnatal care services with postpartum patient satisfaction obtained a significant value of p-value 0.000 (p <0.05), which means there is a relationship. There is a relationship between the quality of postnatal care services and postpartum patient satisfaction. Conclusion: RSUD can maintain the level of satisfaction of nursing services to patients and improve the quality of service optimally in order to achieve health service satisfaction, and can maintain and improve services that are considered good by patients, and improve services that still make patients feel less satisfied.
Hidden Wounds: Prevalence of Chronic Wounds in Asia, A Systematic Review and Meta‑Analysis Burhan, Asmat; Syafiqah, Nurul; Ruangdet, Kritsada; Oanh, Lê Thị Kim; R. MacLeod, Emily; Dutta Roy, Ananya; M. Norrström, Elin; Susanti, Indah
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.117

Abstract

Background: Chronic wounds are a persistent and costly health issue globally, with particularly high burdens in low- and middle-income countries. Despite increasing awareness, comprehensive regional estimates of chronic wound prevalence across Asia remain limited and inconsistent. Purpose: This study aimed to estimate the pooled prevalence of chronic wounds in Asian populations and identify key moderators associated with their distribution and burden, including comorbidities, wound types, and geographic or healthcare-related factors. Methods: A systematic review and meta-analysis were conducted according to PRISMA guidelines. Searches of PubMed, Embase, Scopus, and Web of Science identified 46 eligible observational studies published through 2024. Random-effects models were used to estimate pooled prevalence. Subgroup and meta-regression analyses explored the influence of demographic, clinical, and geographic moderators. Risk of bias was assessed using the Newcastle-Ottawa Scale (NOS). Results: A total of 46 studies comprising 6,425 chronic wound cases were included in the analysis. The pooled prevalence of chronic wounds was 32.1% (95% CI: 25.9–39.1), with substantial heterogeneity (I² = 98.8%). Diabetic foot ulcers were the most common wound type. Prevalence was significantly higher in developing countries (34.8%), in Southeast Asia (50.8%), and in hospital-based settings (32.6%). Smoking (β = 0.049; p = 0.019) and malnutrition (β = 0.047; p < 0.001)  were significantly associated with increased prevalence, while serum albumin was inversely associated (β = –4.308; p < 0.001). Conclusions: Chronic wounds are highly prevalent across Asian populations, particularly in resource-limited settings. Socioeconomic context, nutritional deficiencies, and modifiable lifestyle factors contribute substantially to this burden. These findings support the need for standardized wound surveillance, targeted prevention strategies, and improved nutritional and behavioral interventions, especially in developing health systems. Future studies should adopt prospective designs and harmonized definitions to strengthen regional and global wound epidemiology.
Postoperative Cognitive Dysfunction in Craniotomy: Mechanisms, Challenges, and Future Directions Suandika, Made; Yantoro , Awal Tunis; Suhendro , Anton; Wijayanti, Indri; Handayani, Rahmaya Nova; Yulianto, Dwi Agus; Kisdyanti, Yuniar Melissa
Java Nursing Journal Vol. 3 No. 2 (2025): March - June 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Postoperative cognitive dysfunction (POCD) is a clinical concern that can affect patients undergoing craniotomy, often impairing memory, attention, and executive function. Despite advances in neurosurgical and anesthetic techniques, POCD remains prevalent and under-recognized. This review aims to explore the underlying mechanisms and contributing factors of POCD in the context of craniotomy under general anesthesia. A narrative literature review method was employed to examine publications retrieved from major databases including PubMed, Scopus, and ScienceDirect between 2015 and 2025. Selected studies focused on adult patients and provided insights into both clinical manifestations and molecular pathways linked to POCD. The analysis revealed that factors such as advanced age, duration of anesthesia, and neuroinflammatory responses significantly influence the development of POCD. Mitochondrial dysfunction and oxidative stress were frequently cited as key contributors to neuronal damage following surgery. In terms of clinical management, the literature suggests that early cognitive assessment and tailored anesthetic strategies may reduce the risk of long-term impairment. Although definitive treatment remains elusive, this review highlights the importance of early identification and multidisciplinary approaches to mitigate POCD in post-craniotomy patients. Future research should prioritize standardized diagnostic criteria and explore neuroprotective interventions to improve cognitive outcomes following neurosurgical procedures.
The Relationship Between Nutritional Status and Age on the Incidence of Preeclampsia in Pregnant Women Sinta Dewi, Ni Wayan; Amalia; Nurwinda Sari, Nova
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.113

Abstract

Background: Preeclampsia remains a significant threat during pregnancy, especially in developing countries, and is a leading cause of maternal death. The condition can adversely affect maternal and fetal health due to decreased uteroplacental perfusion, vasospasm, and endothelial damage. Purpose: This study aims to determine the relationship between nutritional status and age with the incidence of preeclampsia in pregnant women at RSUD Dr. H Abdul Moeloek Lampung Province in 2024. Methods: This study used a quantitative approach with a cross-sectional design. The population of this study were all laboring mothers with mild and severe preeclampsia complications. The sample of this study was 38 cases of mothers with mild and severe preeclampsia problems. Data were analyzed using the chi-square test. Findings: The results of the chi square test value for nutritional status with the incidence of preeclampsia are: p-value 0.046 < α (0.05) with the results of Ha accept and H0 rejected, which means that there is a relationship between nutritional status and the incidence of preeclampsia in laboring mothers in the Delima Room of Dr. H Abdul Moeloek Hospital Lampung Province in 2024, for maternal age with the incidence of preeclampsia, namely: p-value 0.013 < α (0.05) with the results of Ha accept and H0 rejected, which means there is a relationship between age and the incidence of preeclampsia in laboring mothers at Dr. H Abdul Moeloek Hospital Lampung Province in 2024. Conclusion: Nutritional status and maternal age are significantly associated with the incidence of preeclampsia in laboring mothers. These findings highlight the importance of maintaining maternal health and monitoring nutritional status during pregnancy to reduce the risk of preeclampsia and maternal mortality.
Predictors of Diabetic Foot Ulcer Recurrence: A Retrospective Analysis of Clinical, Vascular, and Biochemical Risk Factors Ruangsak, Chanika; Thi Lan, Nguyen; Minh Huyen, Tran; Fujimoto, Haruka
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.114

Abstract

Background: Diabetic foot ulcer (DFU) is a major complication of diabetes mellitus and remains a significant contributor to morbidity, limb amputation, and mortality. Although substantial efforts have been made in prevention and treatment, ulcer recurrence continues to pose a critical clinical challenge. Understanding the multifactorial nature of recurrence and identifying reliable predictors are essential for improving long-term outcomes. Methods: This retrospective case-control study included 230 patients diagnosed with DFU and treated between October 2020 and January 2025. Patients were stratified into recurrence (n = 103) and non-recurrence (n = 127) groups based on ulcer outcomes within a two-year follow-up period. Clinical, demographic, foot-related, comorbid, and biochemical variables were extracted from medical records and follow-up assessments. Statistical analyses included univariate tests and binary logistic regression to determine independent predictors of DFU recurrence. Results: Significant differences were found between groups across multiple domains. Patients with recurrence had lower body mass index (BMI, p = 0.045) and a higher prevalence of poor financial status (p = 0.021). Foot-specific characteristics, including higher Wagner grade, prolonged ulcer duration, prior amputations, and plantar ulcer location, were all significantly associated with recurrence (p < 0.05). Laboratory findings revealed elevated C-reactive protein and decreased serum albumin levels in the recurrence group (p < 0.001). Notably, lower total bilirubin (TBIL) levels were observed in recurrent cases and remained an independent protective factor (OR = 0.898, p = 0.041). Multivariate analysis identified diabetic peripheral neuropathy (DPN), peripheral arterial disease (PAD), prior amputations, and plantar ulceration as significant predictors of recurrence. Conclusion: DFU recurrence is driven by a complex interplay of vascular, neurological, anatomical, and biochemical factors. The identification of total bilirubin as a potential protective biomarker highlights new avenues for risk stratification. These findings underscore the importance of a comprehensive, multidisciplinary approach in DFU management to reduce recurrence and improve patient outcomes.
A Clean Fight: Comparing Metronidazole and Silver Sulfadiazine Gels in Treating Infected Diabetic Foot Ulcers: A Randomized Control Trial Romano, Giulia; More, Claire; Garnier, Élodie; Fernández Navarro, Lucía; Burhan, Asmat
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.115

Abstract

Background: Diabetic foot ulcers (DFUs) are a major cause of morbidity and non-traumatic amputations among patients with diabetes. Infection delays healing and increases the risk of severe complications, underscoring the need for effective topical treatments. Objective: To compare the efficacy of topical Metronidazole versus Silver Sulfadiazine (SSD) in promoting wound healing in infected DFUs, and to evaluate the influence of systemic markers, including HbA1c, CRP, and albumin, on treatment outcomes. Methods: This randomized, double-blind controlled trial was conducted at the Centre Médical de Saint-Jean-sur-Veyle from April to June 2025. Ninety adult patients with mild-to-moderate infected DFUs were randomly assigned to either Metronidazole or SSD. Patients with severe infection, osteomyelitis, or severe ischemia were excluded. Participants received daily topical application of either 1% Metronidazole or 1% SSD gel for four weeks, alongside standard care including debridement, offloading, and glycemic control. The primary outcome was complete wound healing at 4 weeks. Secondary outcomes included wound size reduction, time to healing, and changes in infection severity scores. Subgroup analyses assessed the impact of clinical covariates on healing. Results: Among 90 participants, 86 completed the trial. The Metronidazole group had a significantly higher healing rate (86.7%) compared with the SSD group (68.9%; p = 0.011). ANCOVA showed a significant treatment effect on wound size (F = 6.89; p = 0.011). GEE analysis identified a significant time-by-treatment interaction (OR = 3.06; p = 0.002). Poor healing was associated with wound size ≥5 cm², HbA1c ≥8%, CRP ≥10 mg/L, and albumin <3.5 g/dL. Conclusions and Relevance: Metronidazole was more effective than SSD in promoting short-term wound healing in infected DFUs. It may be considered a preferred topical agent, especially in settings with high anaerobic burden and limited resources.
Nursing Interventions in Cancer Pain Management: Enhancing Patient Outcomes through Integrated Pharmacological and Non-Pharmacological Approaches Prabowo, Fajar; Setiawan, Dwi; Wijayanti, Hana
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.116

Abstract

Background: Cancer pain is one of the most challenging symptoms for patients, often leading to a significant decline in their quality of life. Despite advances in pain management, many cancer patients still experience insufficient pain relief. Nurses, who are on the front lines of patient care, play a vital role in managing this pain by using both pharmacological and non-pharmacological methods. However, the effectiveness of these combined interventions is not well understood. Purpose: The purpose of this study was to explore how nurses manage cancer pain and assess the impact of combining pharmacological and non-pharmacological treatments on pain levels and quality of life for cancer patients. Methods: This cross-sectional study was conducted at Columbia Asia Hospital Semarang over a 12-month period, from January 2024 to December 2024. We enrolled 420 participants—210 cancer patients and 210 registered nurses. Pain was assessed using the Numeric Rating Scale (NRS), and quality of life was measured using the Brief Pain Inventory (BPI). We used descriptive statistics, t-tests, and multivariate regression to analyze how different nursing interventions influenced patient outcomes. Results: Patients receiving a combination of pharmacological and non-pharmacological interventions reported significantly lower pain intensity (mean = 5.3, SD = 1.8) and better quality of life scores (mean = 68.4, SD = 12.3) than those who only received pharmacological treatments. Our regression analysis revealed that opioids were effective in reducing pain, while combining them with non-pharmacological interventions like cognitive-behavioral therapy improved patients' overall well-being. Conclusion: This study highlights the effectiveness of integrating pharmacological and non-pharmacological pain management strategies, improving both pain relief and quality of life for cancer patients. Nurses play a crucial role in these interventions, and further research should examine the long-term benefits and the potential use of digital tools in pain management.
Monkeypox and the Nursing Frontline: A Narrative Literature Review of Readiness, Risk, and Response Luyinda, Mbaki; Nanjala, Faith; Nabwire, Amina
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.118

Abstract

Background: Monkeypox (Mpox) has resurfaced as a global health concern, extending beyond endemic areas into Southeast Asia, particularly Indonesia.  Nurses, constituting the largest frontline workforce, are essential for outbreak identification, infection control, and community engagement.  However, research indicates significant deficiencies in understanding, readiness, and vaccine adoption. Purpose: This review consolidates research about nurses' knowledge, attitudes, infection prevention practices, and vaccination preparedness during Mpox epidemics, highlighting their pivotal role in public health readiness. Methods: A systematic narrative review was performed in accordance with PRISMA 2020 guidelines.  Five databases (PubMed, Scopus, Web of Science, CINAHL, ScienceDirect) were examined for studies conducted between January 2022 and May 2025.  Qualified studies included nurses or healthcare professionals in Mpox settings and examined at least one target domain.  Data were thematically synthesized, and quality was evaluated utilizing Joanna Briggs Institute instruments. Results: Five papers fulfilled the criteria: two cross-sectional surveys, one meta-analysis, one qualitative interview, and one narrative review.  Knowledge scores varied between 34% and 76.7%, exhibiting prevalent deficiencies in transmission and personal protective equipment utilization.  Attitudes were ambivalent, shaped by apprehension, stigma, and workload.  IPC compliance varied between 60% and 85%, frequently impeded by insufficient training and institutional backing.  Vaccine adoption ranged from 50% to 58.5%, with hesitation associated with safety apprehensions and misinformation. Conclusion: Nurses are inadequately prepared for Mpox outbreaks, particularly in low- and middle-income environments.  To address these deficiencies, it is essential to provide specialized training, psychosocial support, and to engage nurses as co-designers of preparedness plans rather than only as executors.
Trends in Foodborne Illness Outbreaks in Shinjuku City, Tokyo in FY2023 and Public Health Considerations Kashiwagi, Yoshiyuki
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.119

Abstract

Background: Foodborne illnesses continue to pose a significant public health challenge in urban areas with active food service industries. Seasonal trends, food handling practices, and dietary behaviors influence outbreak patterns. Purpose: This study investigates foodborne illness outbreaks in Shinjuku City, Tokyo, during fiscal year 2023, focusing on causative agents, seasonality, and outbreak settings to inform targeted public health interventions. Methods: Outbreak data reported by Shinjuku City in 2023 were analyzed by month, pathogen type, and outbreak location. Administrative responses were also reviewed. All data were anonymized and ethically managed. Results: A total of 11 outbreaks involving 37 patients were reported, corresponding to an incidence rate of 10.59 per 100,000 population, the highest in the past five years. The most common causative agent was Campylobacter, followed by norovirus, Anisakis, and natural plant toxins. Most outbreaks occurred in restaurants. A clear seasonal pattern was observed, with peaks in winter and summer. Business suspensions were the most frequent administrative penalty. Conclusion: Despite ongoing public health efforts, foodborne illnesses remain a concern in Shinjuku City. Strengthened guidance for food establishments and targeted awareness campaigns, particularly for young singles and recent residents, are recommended. Special attention should be given to hygiene in game meat handling and safe food practices in households.
Person-centered care enhances quality of life among older adults in long-term care settings Kartinah, Lilis; Permadi, Rangga
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.121

Abstract

Background: As aging populations grow, ensuring quality of life in long-term care has become a global priority. Person-centered care (PCC) offers a tailored approach that respects individual values and preferences. Objective: This study investigated the impact of PCC on the quality of life among older adults residing in long-term care facilities in Indonesia. Methods: A mixed-methods design was employed with 82 elderly residents across four facilities. Quantitative data were collected using the WHOQOL-OLD scale pre- and post-intervention, while qualitative insights were gained through in-depth interviews. Results: PCC significantly improved overall quality of life scores, particularly in autonomy and social participation domains (p < 0.05). Residents reported feeling more respected and emotionally secure after the implementation of PCC routines. Conclusion: Person-centered care positively influences the well-being of older adults in institutional care. Training for staff and structural adaptation are essential for sustainable PCC implementation.

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